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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MICHAEL JOSEPH KILBY FNP-BC
NPI 1922728773
Nurse Practitioner - Family in Connelly Springs, NC

Active since August 31, 2022PECOS Enrolled
720 MALCOLM BLVD STE 200, CONNELLY SPRINGS, NC 28612(828) 580-7654(828) 580-7537 Get Directions Write a Review

NPPES record last updated: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 1, 2026, Aug 31, 2022 (2 updates tracked since 2022).

About Michael Joseph Kilby Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL JOSEPH KILBY FNP-BC (NPI 1922728773) is an individual family provider in Connelly Springs, North Carolina, licensed in North Carolina (5016833) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS, is affiliated with Caldwell Memorial Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1922728773
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMICHAEL JOSEPH KILBYCredential: FNP-BC
Location Address720 MALCOLM BLVD STE 200Connelly Springs, NC 28612-7920
Mailing Address720 Malcolm Blvd Ste 200Connelly Springs, NC 28612-7920 · (828) 580-7654 · Fax (828) 580-7537
Phone(828) 580-7654
Fax(828) 580-7537
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 31, 2022
Last NPPES UpdateOctober 1, 20262 updates tracked since enumeration
NPPES CertifiedOctober 1, 2026
✔ NPI 1922728773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NC · 5016833
720 MALCOLM BLVD STE 200, Connelly Springs, NC 28612
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Joseph Kilby Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709115603
PECOS Enrollment IDI20221123002700
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Michael Kilby reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Blue Ridge Healthcare Medical Group, Inc.
Same address
Interventional Pain Medicine
720 MALCOLM BLVD, STE 400
Valdese, NC 28690
  • Reassigned Medicare billing, North Carolina enrollment
  • 322 clinicians in this Medicare group
NPI 1326849456 (828) 580-7620
Caldwell Memorial Hospital, Inc.
6.8 mi
Neurology
4355 HICKORY BLVD
Granite Falls, NC 28630
  • Reassigned Medicare billing, North Carolina enrollment
  • Also billed through NPI 1831965201 (North Carolina), NPI 1861268245 (North Carolina)
  • 313 clinicians in this Medicare group
NPI 1770798068 (828) 757-5040
Eventus Wh Southeast, LLC
55 mi
Geriatric Medicine
212 S TYRON ST STE 1000
Charlotte, NC 28281
  • Reassigned Medicare billing, North Carolina enrollment
  • 264 clinicians in this Medicare group
NPI 1487494811 (855) 743-2247
Eventus Wholehealth, PLLC
58 mi
Family Medicine
101 CABARRUS AVE E STE 200
Concord, NC 28025
  • Reassigned Medicare billing, North Carolina enrollment
  • 312 clinicians in this Medicare group
NPI 1548759392 (855) 743-2247

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
88 services50 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
80 services41 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
35 services35 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
24 services24 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
18 services17 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Caldwell Memorial Hospital

Acute Care Hospitals · Lenoir, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340041
Location321 Mulberry St SWLenoir, NC 28645 · Caldwell County
Emergency services

Catawba Valley Medical Center

Acute Care Hospitals · Hickory, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340143
Location810 Fairgrove Church RdHickory, NC 28602 · Catawba County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SAMEER MIRZA BAIG MD
Internal Medicine (Hematology & Oncology)
720 MALCOLM BLVD STE 200
CONNELLY SPRINGS, NC 28612
Burke County (828) 580-7654
TIA LONDIA GUILLEN FNP
Nurse Practitioner (Family)
720 MALCOLM BLVD STE 200
CONNELLY SPRINGS, NC 28612
Burke County (828) 580-7654

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Kilby's NPI number?

The NPI number for Michael Kilby is 1922728773. It was assigned to this individual provider in the NPPES registry on August 31, 2022.

Where is Michael Kilby located?

Michael Kilby practices at 720 Malcolm Blvd Ste 200, Connelly Springs, NC 28612. The listed phone number is (828) 580-7654.

What is Michael Kilby's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Michael Kilby enrolled in Medicare?

Yes. Michael Kilby is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michael Kilby's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Kilby reassigns Medicare benefits to 4 organizations: Blue Ridge Healthcare Medical Group, Inc. (Valdese, NC), Caldwell Memorial Hospital, Inc. (Granite Falls, NC), Eventus Wh Southeast, LLC (Charlotte, NC) and Eventus Wholehealth, PLLC (Concord, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Kilby's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Kilby accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 2 other insurers list Michael Kilby as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Michael Kilby affiliated with any hospitals?

According to CMS data, Michael Kilby is affiliated with Caldwell Memorial Hospital and Catawba Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Kilby was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.